the Effects of Emergency Contraceptive Pills on Long-Term Use

Emergency contraceptive pill

Hello doctor, I have been taking the contraceptive pill Yaz for several months.
The physician mentioned that long-term regular use will provide contraceptive effects, and that if I want to conceive, I should stop taking the pill for several months.
My question is, if I take a break from the pill in the middle of the cycle (with the placebo pills, the white ones), will I still have contraceptive effects?

wei, 10~19 year old female. Ask Date: 2018/09/15

Dr. Huang Jianzhong reply Obstetrics and Gynecology

I have been taking the contraceptive pill Yaz for several months.
The doctor mentioned that long-term regular use will provide contraceptive effects, and if I want to conceive again, I need to stop taking the pill for several months.
My question is, while using it long-term, does taking the placebo pills (the white inactive pills) still provide contraceptive effects?

Reply Date: 2018/09/15

More Info

Emergency contraceptive pills (ECPs), such as the one you mentioned, are designed to prevent pregnancy after unprotected intercourse or contraceptive failure. However, it is important to clarify that ECPs are not intended for regular, long-term use as a primary contraceptive method. Instead, they are meant for occasional use in emergencies.

When considering the long-term use of regular contraceptive pills (like the one you mentioned, which is likely a combined oral contraceptive), it is essential to understand how these medications work and their potential effects on your body over time.
1. Mechanism of Action: Combined oral contraceptives work primarily by preventing ovulation. They also thicken cervical mucus to block sperm and thin the uterine lining to prevent implantation. When taken consistently, they provide effective contraception. However, if you take a placebo or "inactive" pill (like the white pill you mentioned), it does not provide any contraceptive effect. The effectiveness of the contraceptive pill relies on taking the active pills as directed.

2. Long-Term Use: Long-term use of hormonal contraceptives can have various effects on your body. Some women experience benefits such as regulated menstrual cycles, reduced menstrual cramps, and decreased risk of certain reproductive cancers. However, there are also potential side effects, including mood changes, weight gain, and increased risk of blood clots, especially in women who smoke or have other risk factors.

3. Stopping the Pill: If you decide to stop taking the pill, it is generally recommended to wait a few months before trying to conceive. This allows your menstrual cycle to return to its natural rhythm and can help ensure that your body is ready for pregnancy. The time it takes for fertility to return can vary from person to person.

4. Using Placebo Pills: If you take a placebo pill during your cycle, it does not provide any contraceptive effect. The active pills must be taken consistently to maintain contraceptive efficacy. If you miss taking an active pill, it can reduce the effectiveness of the contraceptive method, and you may need to use backup contraception, such as condoms, for a short period.

5. Consultation with Healthcare Provider: It is crucial to discuss your contraceptive options with your healthcare provider. They can help you understand the best method for your lifestyle and health needs. If you have concerns about long-term use or side effects, they can provide guidance and alternatives.

In summary, while long-term use of contraceptive pills can be effective for preventing pregnancy, it is essential to take them as directed and to consult with your healthcare provider regarding any changes in your regimen. If you are considering stopping the pill or have questions about its effects, your doctor can provide personalized advice based on your health history and reproductive goals.

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